Individual
ANILKUMAR AMBALAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED SURGICAL A
Contact information
Practice address
1075 HWY 190 E SERVICE ROAD, SUITE 200, COVINGTON, LA 70433
(985) 234-3000
(985) 234-3002
Mailing address
410 WESTWOOD DRIVE, MANDEVILLE, LA 70471
(985) 809-8162
(985) 234-3002
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
874
LA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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